Addington Jean, McCleery Amanda, Addington Donald
Department of Psychiatry, University of Toronto, Canada M5T 1R8.
Schizophr Res. 2005 Nov 1;79(1):107-16. doi: 10.1016/j.schres.2005.03.019.
At the initial presentation to a first-episode of psychosis program, family members were experiencing distress and difficulties. The purpose of the study was to assess the effectiveness of individualized family intervention integrated within a comprehensive treatment program for first episode psychosis. Participants were the family members of individuals who had presented with a first episode of psychosis. Family members were assessed with the Psychological General Well-Being Scale and the Experience of Caregiving Inventory (ECI). Patient data included assessment of positive and negative symptoms, depression, quality of life, and substance use. Assessments were conducted over a three-year period. Over time families demonstrated improved psychological well-being and ECI scores. The most significant predictor of poor psychological well-being was the family's appraisal of the impact of the illness on themselves and not the severity of symptoms or impaired functioning. This family intervention embedded within a treatment program proved to be highly acceptable and effective.
在首次向首发精神病项目就诊时，家庭成员正经历着痛苦和困难。该研究的目的是评估在针对首发精神病的综合治疗项目中整合的个体化家庭干预的有效性。参与者是患有首发精神病个体的家庭成员。使用心理总体幸福感量表和护理体验量表（ECI）对家庭成员进行评估。患者数据包括对阳性和阴性症状、抑郁、生活质量和物质使用的评估。评估在三年期间进行。随着时间的推移，家庭表现出心理幸福感和ECI分数的改善。心理幸福感差的最显著预测因素是家庭对疾病对自身影响的评估，而不是症状的严重程度或功能受损情况。事实证明，这种融入治疗项目的家庭干预是高度可接受且有效的。
